Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ilenia Elizabeth Gonzalez Gusmao

Individual provider Prosthodontics · NPI 1083067870

Mrs. Ilenia Elizabeth Gonzalez Gusmao is a Prosthodontics in Salem, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
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Practice location Address checks out

20 Central St Ste 111
Salem, MA 01970-3752
Phone: (617) 636-6591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DN1859794 (MA)

Record details

NPI number1083067870
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

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